Nursing Assessment for Dysentery

Nursing Assessment for Dysentery
Dysentery

Dysentery
is an inflammatory disorder of the intestine, especially of the colon, that results in severe diarrhoea containing mucus and/or blood in the feces[1] with fever and abdominal pain. If left untreated, dysentery can be fatal.

There are differences between dysentery and normal bloody diarrhoea. While diarrhoea caused by dysentery is typically of small volume, very bloody, and containing many PMNs and RBCs; normal bloody diarrhoea is more watery and may not contain any PMNs or mucus.

Signs and symptoms

In developed countries, dysentery is, in general, a mild illness, causing mild symptoms normally consisting of mild stomach pains and frequent passage of feces. Symptoms normally present themselves after one to three days and are usually no longer present after a week. The frequency of urges to defecate, the volume of feces passed, and the presence of mucus and/or blood depend on the pathogen that is causing the disease. Temporary lactose intolerance can occur, which, in the most severe cases, can last for years. In some caustic occasions, vomiting of blood, severe abdominal pain, fever, shock, and delirium can all be symptoms.


Nursing Assessment for Dysentery

1. Identity
Noteworthy is the age. Episodes of diarrhea occurred in the first 2 years of life. The incidence is highest age group 6-11 months. Most gut bacteria stimulating the immune response to infection, it helps explain the decline insidence disease in older children. At the age of 2 years or more active immunity begins to form. Most cases are due to asymptomatic intestinal infections and enteric bacteria spread mainly clients are not aware of the infection. Economic status are also influential, especially from diet and treatment.

2. Main complaint
Defecate more than 3 x

3. Disease History Now
Defecating yellow-green, mixed with mucus and blood or mucus alone. Watery consistency, frequency of more than 3 times, spending time: 3-5 days (acute diarrhea), more than 7 days (prolonged diarrhea), more than 14 days (chronic diarrhea).

4. Disease history of the past
Never before have diarrhea, use of antibiotics or corticosteroids long term (changes in Candida albicans from saprophyte to parasite), food allergy, respiratory infection, UTI, OMA, measles.

5. Nutrition History
In children ages toddler food provided as in adults, the portion given 3 times per day with additional fruit and milk. Malnutrition in children toddler age are particularly vulnerable. The way food is good management, hygiene and food sanitation, hand washing habits.

6. Family Health History
There was one family who had diarrhea.

7. Environmental Health History
Food storage at room temperature, lack of hygiene, neighborhood.

Nursing Assessment Nursing Care Plan for Dysentery
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